Intra-thoracic goiter
Keywords:
Thyroidectomy, Goiter, Substernal goiter/therapy, Asthma.Abstract
Introduction: goiter constitutes the most treated condition of thyroid gland in surgical services, even though its anomalous position is not frequent.Case report: a 51 year-old patient with history of bronchial asthma. Three years ago the patient presented growth of volume of the lateral-left region of neck and presence of weakness, palpitations and occasional dysphagia, being treated with levothyroxine sodium. Studies of thyroidal function, thoracic radiographies (anteroposterior view), thyroid echography and fine needle aspiration biopsy were performed. Through the cervical line, total thyroidectomy was performed, confirming that more than 50% of the gland was in intra-thoracic position, there were nodules in both lobules without complications; it was a multinodular colloid goiter.
Conclusions: intra-thoracic goiter has not a good response to medical treatment; when symptoms of compression are present, total thyroidectomy by cervical line is preferred whenever possible.
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